JACOB MICHAEL KAYLE LISTER

NEW HAVEN, CT
NPI1063155588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-14
Last Update Date2022-04-14
Business Address
Dr. JACOB MICHAEL KAYLE LISTER MD, PHD
230 S FRONTAGE RD
NEW HAVEN, CT 06519-1124
Phone number: 203-737-7129
Mailing Address
Dr. JACOB MICHAEL KAYLE LISTER MD, PHD
230 S FRONTAGE RD
NEW HAVEN, CT 06519-1124
Phone number: 203-737-7129